NPIMap

Organization Active NPI

Mindful Connections, LLC

  • Clinical Social Worker
  • Syracuse, UT
National Provider Identifier
1114644960
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL CONNECTIONS, LLC
Practice address
780 S 2000 W Ste A105
Syracuse, UT 84075-9612
Phone
(801) 628-6397
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Thompson, LCSWNPI 1407135718
Title
LCSW
Phone
(801) 628-6397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

780 S 2000 W Ste A105
Syracuse, UT 84075-9612

Mailing address

618 S 1550 W
Syracuse, UT 84075-8117
Phone (801) 628-6397

Other practice location 1

1133 N Main St Ste 130
Layton, UT 84041-4830
Phone (801) 628-6397

Other names 1

  • Mindful Connection Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

780 S 2000 W
Ste A105
Syracuse, UT 84075
Phone (385) 423-2377

780 S 2000 W
Ste A106
Syracuse, UT 84075

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1114644960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 1550 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758117",
            "telephone_number": "801-628-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S 2000 W STE A105",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759612",
            "telephone_number": "801-628-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 N Main St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840414830",
            "country_code": "US",
            "telephone_number": "801-628-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "801-628-6397",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Connection Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.